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Circuit Courts Limit Reach of Federal False Claims Act in Two Defense Contractor Cases

Two recent federal circuit court decisions demonstrate the importance to defense contractors of the “rigorous” materiality standard for False Claims Act (FCA) cases announced by the Supreme Court last year in Universal Health Services, Inc. v. United States ex rel. Escobar, 136 S. Ct. 1989 (2016). More than a few defense contractors are prevailing by demonstrating that relators have accused them of immaterial regulatory violations, and not infractions that are material to the government’s decision to pay a claim.

In United States ex rel. Kelly v. Serco, Inc., 846 F.3d 325 (9th Cir. Jan. 12, 2017), the U.S. Court of Appeals for the 9th Circuit became the first circuit to analyze the Escobar materiality standard for claims brought against a defense contractor under the FCA. Subsequently, the D.C. Circuit did so in United States ex rel. McBride v. Halliburton Co., 848 F.3d 1027 (D.C. Cir. Feb. 17, 2017). Both circuits affirmed summary judgment for the defense contractors on grounds that the relators could not demonstrate that any falsity in the claims was material.

The “Demanding” and “Rigorous” Materiality Standard

In Escobar, the Supreme Court held that a party that submits a claim to the government can be liable under the FCA by impliedly certifying compliance with applicable laws, regulations, or contractual terms. However, the Court imposed a significant constraint on this legal theory of liability. The false certification of compliance must be material to the government’s decision to pay a claim. Escobar, 136 S. Ct. at 2002. And, according to the Court, the materiality is “demanding” and “rigorous.” Id. at 2003, 2004 n.6. Not every false certification of a regulatory violation is material, the Court explained.

Summary Judgment Affirmed for Defense Contractors Where Material Falsity Is Not Established

In Kelly, the relator—a former analyst for a defense contractor—brought an implied false certification claim under the FCA. The contractor had an agreement with the Department of Defense, Navy Space and Naval Warfare Systems Command (SPAWAR) to provide project management services for an upgrade of the wireless communications systems along the U.S.-Mexico border. Kelly, 846 F.3d at 328. The analyst alleged that the contractor failed to record its costs according to the Department of Defense’s Earned Value Management System guidelines. Id. at 329. However, the 9th Circuit found no evidence that the defense contractor was required to comply with the guidelines. Id. at 331. The agreement between the contractor and SPAWAR made no mention of the guidelines, and there was no regulation that conditioned payment on compliance with them. Id.

The court was equally unpersuaded by the analyst’s argument that SPAWAR could have refused payment if the defense contractor disclosed the method it used to track costs. Relying on Escobar, the 9th Circuit noted that evidence that SPAWAR could refuse payment if it knew of the violation is insufficient to establish materiality. Id. at 333–34. Moreover, SPAWAR’s acceptance of the cost reports despite knowledge of their non-compliance supported the conclusion that no reasonable jury could find for the implied false certification claim. Id.

The District of Columbia Circuit came to the same conclusion in McBride. There, the contractor had an agreement with the U.S. Army to provide morale, welfare, and recreation services for troops at two military camps located in Iraq. McBride, 848 F.3d at 1029. The relator—a former employee—accused the contractor of maintaining false headcount data to overstate the number of troops that used its facilities, and also of destroying sign-in sheets before submitting claims to the Army. Id. As in Kelly, the employee failed to demonstrate a connection between the allegedly inflated headcount data and the defense contractor’s claims for payment. Id. at 1032–33. The contractor’s agreement with the Army did not require it to produce headcount data. Id. Rather, the contractor voluntarily recorded this information and sporadically included it in status reports. Id. The employee argued that, regardless of contractual terms, the Army may refuse payment for unreasonable or unsubstantiated costs. Id. She relied on a federal regulation that specifies costs charged to the government must be reasonable. Id., citing 48 C.F.R. § 31.201-2(a)(1).

The D.C. Circuit found the regulation inapplicable because the employee offered no evidence to suggest that the headcount data was relevant or material to determining costs. Id. To the contrary, the defense contractor showed that its costs were based on the size of each camp’s population and the types of services offered at each facility. Id. Even if the employee could prove that the headcount data were false, she could not prove that the false information had any bearing on costs billed to the Army or that it affected payment decisions in any way. Id. In fact, the Defense Contract Audit Agency did investigate the employee’s claims about headcount data and still allowed payment on all the contractor’s charged costs. Id. at 1034. Quoting Escobar, the D.C. Circuit found this was “very strong evidence” that the data was not material to the payment decision. Id.

Kelly and McBride illustrate how the rigorous materiality standard ensures that defense contractors will not face FCA liability for regulatory violations that are not material to the government’s decision to pay a claim. In future False Claims Act cases involving defense contractors, the issue of materiality will likely predominate. In FCA cases, defense contractors should formulate a discovery plan—that may include discovery from the government and from former government employees and experts—demonstrating that the government does not base its payment decisions on compliance with the regulation in question. Evidence that the government has paid claims in the past despite knowing of similar regulatory violations will be extremely important.

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About this Author

Jesse Witten, Drinker Biddle Law Firm, Washington DC, Healthcare and Litigation Attorney
Partner

Jesse A. Witten defends health care providers, pharmaceutical manufactures and other clients in the health industry against fraud and abuse matters in government investigations and litigation, particularly False Claims Act matters. Jesse also assists clients in internal corporate investigations and self-disclosures to the government of regulatory violations and Medicare/Medicaid overpayment. He counsels clients on compliance with Anti-Kickback Statute and Stark Law and laws governing the sale and marketing of medical devices and pharmaceutical products...

(202) 230-5146
Barry Gross, Corporate Investments Attorney, Drinker Biddle
Partner

Barry Gross, a former federal prosecutor, is a partner in the firm’s White Collar Crime and Corporate Investigation Practice Group. He is regularly engaged to represent individuals and companies in high-stakes criminal and civil matters. He represents companies, professionals and business executives in investigations and trials. His practice includes the defense of white collar criminal investigations and prosecutions, internal corporate investigations, as well as complex civil litigation including civil Racketeer Influenced and Corrupt Organizations (RICO) cases and qui tam matters. He also handles matters before the Securities and Exchange Commission (SEC) and the Financial Industry Regulatory Authority (FINRA).

Barry has more than 35 years of experience conducting and handling investigations and high-profile cases. He has participated in the defense of criminal and civil RICO cases, and cases involving allegations of securities fraud, mail fraud, wire fraud, bank fraud, tax fraud, health care fraud, antitrust violations, theft of trade secrets, and violations of the False Claim Act and Foreign Corrupt Practices Act (FCPA). In addition he has handled environmental matters, patent litigation, and bankruptcy litigation. Barry has tried more than 200 Federal and State jury trials to verdict and has argued appeals, in the U.S. Court of Appeals and the Pennsylvania Supreme Court.

215-988-2872